This thread
viewtopic.php?f=1&t=46255&start=0
has helped to make things a bit clearer to me, and I will share that with you, just as an exercise in getting my thoughts straight, and with no expectation of agreement from anyone.
We know the doctors are circumscribed by their training, as many of us, including myself, have been at various times in our lives in relation to different professions. And this can apply to RT's, who have a comprehensive training program (which may not include a whole lot about OSA). And as I have said before, DME consultants are really just hardware shop assistants, whereas some of them have had some useful training, others are just a sales person that can waffle through not knowing what they are doing.
I learned a long time ago that those with a little knowledge can often appear as experts to those with none. (I know, I have done it).
Incompetence and rudeness are everywhere, so I won't get into that on this post.
What we are left with is the American, Australian, Canadian, South African etc - Federal law, State laws and insurance regulations.
This is what needs to be changed for us to get better treatment. People often desperate for a job are sometimes going to compromise their principles to get and keep that job. Many of us have been lied to, even by people who know that we know they are lying. Others will believe, quite naturally, that their training was valid, or what they have been told by their boss was valid, and that they now know more than the consumer (the average OSA sufferer).
And in many cases they would probably be right. But obviously, we are not the average OSA sufferer.
So the question is - how do we change this.
I think, by any means we can, and these would include -
Accepting professionals here, and sharing our experience and wisdom with them. Sometimes putting up with their pontificating in order to achieve our goal. But pontificating is not restricted to professionals - I (and possibly others) have been known to do a bit ourselves.
Getting the laws changed. Here in Australia anyone can become a seller of Cpap equipment. A charming manner, a machine on one's desk to fit a mask to, and an unlimited amount of bullshit. The fact that they need a prescription does not give them any professional status except, except that to the the uninformed, it would make them appear powerful and knowledgeable. So if I fiddle around with a mask that you have never even seen before, and make one or two adjustments, then I appear to know what I am doing.
What have I done about this so far - well - nothing. I have been too busy complaining on this Forum. Will I change - I do not know - in the last years of my life I am not sure I want to tackle a challenge as big as this one.
Now we come to the Forum itself, and I need to have a mind-set about it that will work for me.
Freedom of speech is what we have. Not a democracy, not a moderated (censored) forum, not a place where I can control the outcome of a thread, or the response to a post. The fact is I have zero control, and therefore I should have zero expectations.
In a word - we have anarchy - and I must admit I have a begrudging admiration for the concept of anarchy. It means that those who need help (technical or emotional) get that help. Those who want to vent - get to vent, those who want to scare away professionals - get to scare away professionals, those who want to welcome professionals get to welcome them, and those who want to "ask for evidence in support of questionable statements" get to do that. And those who object to any or all of the above - can do that.
This is anarchy.
And now we come to the real benefit of anarchy. The participants of such a society have the opportunity to learn tolerance, whilst at the same time doing what is necessary to retain their self-respect. I have done more work on myself in the last 6 months in this forum, than I have for many years. But again, the reality is that not everyone has the power or assertiveness skills to do that.
So the downside is that there are some people who do get upset by violent posts, but they have already seen them by the time they know they are violent. And some leave the forum because of this. Only a sense of respect for others is going to change this, and I will not be holding my breath waiting for this to happen. It never will. Angry, oxygen deprived, (possibly brain-damaged), medically abused sufferers of sleep apnea will always be joining us. And we will welcome them.
So if I can accept this forum as the epitome of anarchy, then I can rest easy with what I see, respond to what I object to, and help where I can.
And, finally, I do not think we make enough of the fact that it is NOT illegal for us to change our machine settings. We should make this point fiercely and often to those who object to us taking charge of our own treatment.
cheers
Mars
_________________
| Machine: Sandman Auto HC CPAP Machine with Built In Heated Humidifier | ||||
| Mask: Mirage Quattro Full Face CPAP Mask with Headgear | ||||
| Additional Comments: Sandman Software 1.4....and....CMS-60D Pulse Oximeter....and....Euky Bear Vapouriser.....and.....Resmed Hose Cover | ||||





